Kibibi Gaughan (NPI# 1902957905, PAC ID# 6204991136) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902957905 |
| PAC ID by PECOS | 6204991136 |
| Professional Enrollment ID | I20110208000696 |
| Full Name | Kibibi Gaughan |
| Organization Legal Name | WELLSPAN MEDICAL GROUP |
| Address |
101 Fairview Cir Lebanon PA 17042-9581 |
| Phone Number | 7172797303 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951213115 |
| Number of Group Practice Members | 1060 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390066 | GOOD SAMARITAN HOSPITAL |
| 390046 | YORK HOSPITAL |
| 390100 | LANCASTER GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Fairview Cir, Lebanon, PA 17042-9581 | 7172797303 | WELLSPAN MEDICAL GROUP |
| Organization Legal Name | WELLSPAN MEDICAL GROUP |
| Physicians | 1155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Sitler | Physician Assistant | Wellspan Medical Group | 1600 S George St, York, PA 17403-4508 |
| Amber Rickrode | Nurse Practitioner | Wellspan Medical Group | 671 Wilson Ave, Hanover, PA 17331-9519 |
| Konrad Michael Dziamski | Rheumatology | Wellspan Medical Group | 292 St Charles Way, Wellspan Rheumatology, York, PA 17402-4648 |
| Detrich Brown | Nurse Practitioner | Wellspan Medical Group | 1401 Roosevelt Ave, York, PA 17404-2244 |
| Ricky Daniel Heath | Geriatric Medicine | Wellspan Medical Group | 720 Norman Dr, Wellspan Family Medicine Norman Drive, Lebanon, PA 17042-7481 |
| Patricia Martha Zahner | Urology | Wellspan Medical Group | 450 S Washington St, Suite E Wellspan Urology, Gettysburg, PA 17325-2500 |
| Obioma J. Igboko | Pain Management | Wellspan Medical Group | 1227 Baltimore St, Hanover, PA 17331-4406 |
| Courtney Erin Krug | Radiation Oncology | Wellspan Medical Group | 35 Monument Rd, Suite 201, York, PA 17403-5074 |
| Matthew James Mccarl | Family Medicine | Wellspan Medical Group | 100 Frederick St, Suite 101, Hanover, PA 17331-3518 |
| Alyson Hope Neiheiser | Nurse Practitioner | Wellspan Medical Group | 136 Lake St, Ephrata, PA 17522-2415 |
| Street Address |
101 FAIRVIEW CIR |
| City | LEBANON |
| State | PA |
| Zip | 17042-9581 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Brose | Physician Assistant | Wellspan Medical Group | 101 Fairview Cir, Lebanon, PA 17042-9581 |
| Uchechi Amy Onyeyirim | Nurse Practitioner | Wellspan Medical Group | 101 Fairview Cir, Lebanon, PA 17042-9581 |
| Kenneth Lepone | Family Medicine | Wellspan Medical Group | 101 Fairview Cir, Lebanon, PA 17042-9581 |
| Janelle L Gregory | Physician Assistant | Wellspan Medical Group | 101 Fairview Cir, Lebanon, PA 17042-9581 |
| Jason Peter Assalita | Family Medicine | Wellspan Medical Group | 101 Fairview Cir, Lebanon, PA 17042-9581 |
| Lisa N Beck Helwig | Family Medicine | Wellspan Medical Group | 101 Fairview Cir, Lebanon, PA 17042-9581 |
| Samy B Gergis | Family Medicine | Wellspan Medical Group | 101 Fairview Cir, Lebanon, PA 17042-9581 |
| Elizabeth C Muhiire Ntaki | Family Medicine | Wellspan Medical Group | 101 Fairview Cir, Lebanon, PA 17042-9581 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M. Renz | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 4 Th and Walnut Streets, Lebanon, PA 17042-1281 |
| Wendy Lauren Babitt | Infectious Disease | Tower Health Medical Group | 4 Th and Walnut Streets 2nd Floor, Infectious Diseases Tower Health Medical Group, Lebanon, PA 17042-1281 |
| Oluwadamilola Ekundayo Fowowe | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 4 Th and Walnut Streets, Lebanon, PA 17042-1281 |
| Caroline K Mcwilliams | Internal Medicine | Inpatient Consultants of Pennsylvania PC | 4 Th and Walnut Streets, Lebanon, PA 17042-1281 |
| Andrew C Fink | Chiropractic | 2234 W Cumberland St, Cleona Chiropractic, Lebanon, PA 17042-2583 | |
| John M Eder | Optometry | 2627 W Cumberland St, Lebanon, PA 17042-2585 | |
| David P Potena | Physical Therapy | 32 W Penn Ave, Cleona, PA 17042-3201 | |
| Raymond Demaio | Ophthalmology | Bouquet Mulligan Demaio Eye Professionals P.C. | 233 W Penn Ave, Cleona, PA 17042-3230 |
| Esther F Wolford | Optometry | Bouquet Mulligan Demaio Eye Professionals P.C. | 233 W Penn Ave, Cleona, PA 17042-3230 |
| Charles A Druckman | Optometry | Bouquet Mulligan Demaio Eye Professionals P.C. | 233 W Penn Ave, Cleona, PA 17042-3230 |
| Find all physicians in zip 17042 | |||
| City | LEBANON |
| Zip Code | 17042 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEBANON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kibibi Gaughan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.